Talent.com
Medicare Product Manager IV
Medicare Product Manager IVMedica • Minnetonka, MN, United States
Medicare Product Manager IV

Medicare Product Manager IV

Medica • Minnetonka, MN, United States
1 day ago
Job type
  • Full-time
Job description

Description

Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.

We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration - because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.

Responsible for developing, implementing and managing a portfolio of Medicare Advantage products. Develops and manages competitive offerings by overseeing market research and regulatory requirements. Defines and implements product features with a member experience focus. Assists with managing and analyzing product performance. May have interaction with regulatory bodies. Performs other duties as assigned.

Key Accountabilities

  • Maintains source of truth documents for Medicare Advantage (MA) plans which is crucial to maintain alignment between four areas : Product pricing, CMS bid submission, system configuration and legal / required member documents.
  • Completes plan benefit package (PBP) software responses for annual CMS bid submission through its Health Plan Management System (HPMS) and has thorough understanding of the PBP category definitions.
  • Bid subject matter expert (SME) and leader of the Bid Best Practices group to align the organization's bid submissions across product lines and support other bid submitters.
  • Conducts deep competitor analysis, collects competitor materials and assembles competitive reports and analyses.
  • Supports 1 / 1 readiness and vendor management activities.
  • Resource to the enterprise to answer product intent questions for internal stakeholders such as Sales, Customer Services, Pharmacy and Configuration; MA product representative on internal workgroups such as Government Program Issues Tracker, Regulatory Change, Enrollment / Application, Provider Term and other workgroups.
  • Assists with managing and analyzing product performance by reviewing reports and works to identify trend drivers and possible solutions in coordination with enterprise efforts.

Required Qualifications

Bachelor's degree or equivalent experience in related field

7 years of related work experience beyond degree

Preferred Qualifications

  • Experience working with Medicare Advantage plans, the CMS bid cycle, and CMS's Health Plan Management System (HPMS) software
  • Experience in conducting of market research, competitive analysis, and the development of business cases
  • Experience in the analysis, summary, and presentation of business reports to organizational leaders and regulatory officials
  • Excellent organizational skills with proven ability to manage projects from kick-off to implementation
  • Excellent interpersonal communication skills with proven ability to establish and maintain strong relationships at multiple levels of an organization
  • Ability to quickly adapt to change and work independently
  • Proficient in Microsoft Excel, PowerPoint, and Word
  • This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations : Minneapolis, MN, Madison, WI, Omaha, NE, St. Louis, MO.

    The full salary grade for this position is $87,100 - $149,300. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $87,100 - $130,620. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and / or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to base compensation, this position may be eligible for incentive plan compensation in addition to base salary. Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.

    The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.

    We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.

    Equal Opportunity Employer / Protected Veterans / Individuals with Disabilities

    This employer is required to notify all applicants of their rights pursuant to federal employment laws.

    For further information, please review the Know Your Rights notice from the Department of Labor.

    Create a job alert for this search

    Product Manager • Minnetonka, MN, United States

    Related jobs
    Product Manager II

    Product Manager II

    Surescripts • Minneapolis, MN, United States
    Full-time
    We deliver insights at critical points of care for better decisions - from streamlining prior authorizations to delivering comprehensive medication histories to facilitating messages between provid...Show more
    Last updated: 30+ days ago • Promoted
    Level Funded Product Manager (IV)

    Level Funded Product Manager (IV)

    Medica • Minnetonka, MN, United States
    Full-time
    Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences an...Show more
    Last updated: 21 days ago • Promoted
    Telemedicine Physician

    Telemedicine Physician

    QuickMD • Big Lake, MN, US
    Full-time
    QuickMD is a leading telemedicine provider, delivering high-quality virtual care across 44 states.Since our founding in 2019, we have helped more than 100,000 patients access essential medical trea...Show more
    Last updated: 30+ days ago • Promoted
    Product Manager II - Life Sciences

    Product Manager II - Life Sciences

    Surescripts • Minneapolis, MN, United States
    Full-time
    We deliver insights at critical points of care for better decisions - from streamlining prior authorizations to delivering comprehensive medication histories to facilitating messages between provid...Show more
    Last updated: 23 days ago • Promoted
    Senior Product Manager, IVL Console

    Senior Product Manager, IVL Console

    Boston Scientific • Maple Grove, MN, US
    Full-time
    Senior Product Manager, IVL Console.Onsite Location(s) : Maple Grove, MN, US, 55311.Diversity - Innovation - Caring - Global Collaboration - Winning Spirit - High Performance.At Boston Scientific, w...Show more
    Last updated: 15 hours ago • Promoted • New!
    Product Manager II, LUX-Dx Downstream Marketing

    Product Manager II, LUX-Dx Downstream Marketing

    Boston Scientific • Saint Paul, MN, US
    Full-time
    Product Manager II, LUX-Dx Downstream Marketing.The Product Manager II, LUX-Dx Downstream Marketing will be responsible for supporting the commercial success of the LUX-Dx Insertable Cardiac Monito...Show more
    Last updated: 5 days ago • Promoted
    Product Manager II

    Product Manager II

    Medica • Minnetonka, MN, US
    Full-time
    The Product Manager II is responsible for the development, implementation, and ongoing management of a broad portfolio of Individual & Family products across multiple states.The Product Manager wor...Show more
    Last updated: 30+ days ago • Promoted
    Product Manager IV

    Product Manager IV

    Medica • Minnetonka, MN, US
    Full-time
    Medica's Product Manager IV is responsible for developing and managing level-funded health plan products by overseeing market research and regulatory requirements, defining product requirements / fea...Show more
    Last updated: 30+ days ago • Promoted
    Liquid Product Manager, Minnesota

    Liquid Product Manager, Minnesota

    BroadReach Search Partners • Minneapolis, MN, US
    Full-time
    Our client is a leading innovator in precision diagnostics, advancing patient care through cutting-edge molecular science and AI technology. With a focus on oncology and other complex diseases, thei...Show more
    Last updated: 30+ days ago • Promoted
    Healthcare Product Delivery Manager

    Healthcare Product Delivery Manager

    VirtualVocations • Saint Paul, Minnesota, United States
    Full-time
    A company is looking for a Product Delivery Manager specializing in Healthcare for Medicaid and Medicare.Key Responsibilities Drive end-to-end delivery of high-impact healthcare projects moderniz...Show more
    Last updated: 16 hours ago • Promoted • New!
    Senior Downstream Product Manager, SEISMIQ IVL

    Senior Downstream Product Manager, SEISMIQ IVL

    Boston Scientific • Maple Grove, MN, US
    Full-time
    Senior Downstream Product Manager, SEISMIQ IVL.At Boston Scientific, we'll give you the opportunity to harness all that's within you by working in teams of diverse and high-performing employees, ta...Show more
    Last updated: 5 days ago • Promoted
    Senior Upstream Product Manager - PI Arterial

    Senior Upstream Product Manager - PI Arterial

    Boston Scientific • Maple Grove, MN, US
    Full-time
    Senior Upstream Product Manager - PI Arterial.Join our Peripheral Interventions Team, where we create innovative technologies to diagnose and treat peripheral vascular disease.Our products improve ...Show more
    Last updated: 30+ days ago • Promoted
    Product Manager

    Product Manager

    Bio Techne Corp • Minneapolis, MN, US
    Full-time
    By joining Bio-Techne, you'll join a company with a powerful and positive purpose of enabling cutting-edge research in Life Sciences and Clinical Diagnostics. Bio-Techne, and all of its brands, prov...Show more
    Last updated: 6 days ago • Promoted
    Senior Manager of Product Management - Medical Devices

    Senior Manager of Product Management - Medical Devices

    Donaldson Company • Bloomington, MN, United States
    Full-time
    Donaldson is committed to solving the world's most complex filtration challenges.As an established technology and innovation leader, we are continuously evolving to meet the filtration needs of our...Show more
    Last updated: 1 day ago • Promoted
    Registered Nurse (RN) - Case Manager, Home Health

    Registered Nurse (RN) - Case Manager, Home Health

    AccentCare • Rosemount, MN, US
    Full-time
    AccentCare is seeking a Registered Nurse (RN) Case Manager, Home Health for a nursing job in Rosemount, Minnesota.Job Description & Requirements. Bonus : Up to $20K, depending on experience.RN / ...Show more
    Last updated: 30+ days ago • Promoted
    Medicare Product Manager IV

    Medicare Product Manager IV

    Medica • Minnetonka, MN, United States
    Full-time
    Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences an...Show more
    Last updated: 29 days ago • Promoted
    Senior Product Manager, Coronary Therapies

    Senior Product Manager, Coronary Therapies

    Boston Scientific • Maple Grove, MN, US
    Full-time
    Senior Product Manager, Coronary Therapies.Onsite Location(s) : Maple Grove, MN, US, 55311.Additional Location(s) : US-MN-Maple Grove. Diversity - Innovation - Caring - Global Collaboration - Winning ...Show more
    Last updated: 30+ days ago • Promoted
    Senior Manager of Product Management - Medical Devices

    Senior Manager of Product Management - Medical Devices

    Donaldson • Minneapolis, MN, US
    Full-time
    Senior Manager Of Product Management Medical Devices.Donaldson is committed to solving the world's most complex filtration challenges. As an established technology and innovation leader, we are con...Show more
    Last updated: 30+ days ago • Promoted
    Clinical Product Manager

    Clinical Product Manager

    VirtualVocations • Minneapolis, Minnesota, United States
    Full-time
    A company is looking for a Clinical Product Manager.Key Responsibilities Own the full product lifecycle for technology and operational tools from discovery to continuous improvement Collaborate ...Show more
    Last updated: 30+ days ago • Promoted
    Managing Veterinarian / Medical Director

    Managing Veterinarian / Medical Director

    National Veterinary Associates • ISANTI, Minnesota, United States
    Permanent
    Lead, Mentor, and Grow with Us.Francis Veterinary Clinic | Isanti, MN.Francis Veterinary Clinic is growing fast, and we’re ready to welcome a. If you’re an experienced DVM ready to step into leaders...Show more
    Last updated: 10 days ago • Promoted